Finding 498574 (2021-004)

Material Weakness
Requirement
L
Questioned Costs
$1
Year
2021
Accepted
2024-09-26

AI Summary

  • Core Issue: The Association reported $53,510 in expenses that did not match the actual eligible expenses on the HHS report.
  • Impacted Requirements: Internal controls over federal awards were inadequate, leading to errors in compliance with 2 CFR 200.33(a).
  • Recommended Follow-Up: Enhance internal controls by implementing a secondary review process for HHS special report submissions.

Finding Text

Department of Health and Human Services Federal Assistance Listing/CFDA #93.498 COVID-19 Provider Relief Fund and American Rescue Plan Rural Distribution Criteria 2 CFR 200.33(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes, regulations, and conditions of the federal award. The Association is required to submit an accurate report to HHS for each filing period of funds were received. Condition The Association claimed eligible expenses attributable to coronavirus in which the final calculation did not tie to the HHS Report. Cause The Association had a calculation error of $53,510 on the HHS special report causing a difference to the actual eligible expenses (i.e. there were more expenses reported on the HHS special report). Effect The lack of adequate policies over the special report preparation and submission increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. The Association submitted expenses over their actual allowable expenses. Questioned Costs There are questioned costs related to expenses of $53,510 that were included in the report. Context The HHS special reports included total eligible expenses calculation errors of $53,510. Recommendation We recommend that the Association enhance internal control policies to ensure the HHS special report is supported by supporting calculations. This would include implementing a secondary review and approval over the reporting. Views of Responsible Officials and Planned Corrective Actions Management agrees with the finding, has prepared an assessment of the root causes of this material weakness, and has developed a corrective action plan. Indication of Repeat Finding This is not a repeat finding in the current year.

Corrective Action Plan

Contact Person Megan Rath 2021-004 Corrective Action Plan The Association will implement that any future report submitted to HHS for Provider Relief Funds be reviewed and approved by a second reviewer from the Association. The Association will also enhance internal controls to ensure proper supporting calculations. Completion Date The corrective action plan steps were implemented in part in 2022 with continued improvements planned to be in place by October 1, 2024.

Categories

Questioned Costs Material Weakness Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 498569 2021-002
    Material Weakness
  • 498570 2021-002
    Material Weakness
  • 498571 2021-002
    Material Weakness
  • 498572 2021-002
    Material Weakness
  • 498573 2021-003
    Material Weakness
  • 1075011 2021-002
    Material Weakness
  • 1075012 2021-002
    Material Weakness
  • 1075013 2021-002
    Material Weakness
  • 1075014 2021-002
    Material Weakness
  • 1075015 2021-003
    Material Weakness
  • 1075016 2021-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $796,522
93.155 Rural Health Research Centers $75,567
93.889 National Bioterrorism Hospital Preparedness Program $16,890
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $8,072